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Texas rates for HCPCS J2790

Rho D Immune Globulin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.57 / $162.41 / $424.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $83.40 / $112.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.52 / $191.14 / $381.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.63 / $94.63 / $94.63
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.98 / $82.42 / $499.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.90 / $82.57 / $82.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $82.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.85 / $368.04 / $368.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.42 / $118.09 / $543.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.82 / $82.58 / $150.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.90 / $82.57 / $119.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.95 / $82.57 / $149.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $82.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.42 / $83.36 / $111.48